RLR VAMC Allergy Panel

Test Code

900946

CPT Codes
86003 (x31)<br>Restricted Client Code

Includes

Dermatophagoides pteronyssinus (d1) IgE
Dermatophagoides farinae (d2) IgE
June Grass (Kentucky Blue) (g8) IgE
Red Top Grass (g9) IgE
House Dust (Hollister-Stier) (h2) IgE
Cladosporium herbarum (m2) IgE
Aspergillus fumigatus (m3) IgE
Alternaria alternata (m6) IgE
Oak (t7) IgE
Elm (t8) IgE
Willow (t12) IgE
White Ash (t15) IgE
Birch (t3) IgE
Sycamore (t11) IgE
Orchard Grass (Cocksfoot) (g3) IgE
Common Ragweed (Short) (w1) IgE
Giant Ragweed (Tall) (w3) IgE
Lamb's Quaters (Goose Foot) (w10) IgE
Firebush (w17) IgE
Russian Thistle (w11) IgE
Rough Pigweed (w14) IgE
Penicillium notatum (m1) IgE
Cat Dander (e1) IgE
Dog Dander (e5) IgE
Timothy Grass (g6) IgE
Goose Feathers (e70) IgE
Chicken Feathers (e85) IgE
Duck Feathers (e86) IgE
Turkey Feathers (e89) IgE
Cockroach (i6) IgE
Walnut Tree (t10) IgE

Preferred Specimen

5 mL serum

Minimum Volume

5 mL

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days

Methodology
Immunoassay (IA)

Setup Schedule

Set up: Mon-Sat; Report available: 1-3 days

Reference Range

See Laboratory Report

Clinical Significance

Allergy

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.